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Description The Manager, Care Management leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines..
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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
... responsibility for establishing the Care Management and Chronic Condition Management programs and services utilized across ... leading implementation of the Care Management model and Chronic Condition strategy ... Directing..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... Soul. Join Us! The Utilization Management Nurse 2..
... services/benefits for members Gathers clinical information and applies the appropriate clinical ... and administration of the utilization/benefit management function. Typical office working environment ... is eligible for a CVS..
... Description The Clinical Pharmacist, Utilization Management, Custom Programs develops operational documents, ... facilitates communication for custom utilization management. This includes accountability for the ... is eligible for a CVS..
Job Description Community Health Care Workers (CHW) serve the ... members attain and maintain better health outcomes, improve relationships with healthcare ... improve access to care, identify health care needs,..
Details Department: Case Management Schedule: 40 hours per pay ... Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement ... dialog with supervisor and other health providers to..
Job Information Humana Care Manager, Telephonic Behavioral ... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members,..
TeamHealth has an excellent opportunity for a full-time nurse practitioner or physician assistant to join our critical care team at Ingalls Memorial Hospital in Harvey, Illinois. Qualified candidates must have previous ..
Details Department: Case Management Schedule: Full time day, 8 ... Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement ... dialog with supervisor and other health providers to..
... to facilitate appropriate member physical health and behavioral healthcare through assessment ... use of clinical tools and information/data review, conducts comprehensive assessments of ... with members experiencing a behavioral..
... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... protect member PHI / HIPAA information Preferred Qualifications Possess an interest ... care industry Experience with case..
... Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement ... dialog with supervisor and other health providers to ensure effective implementation ... to ensure effective implementation of..
Description The Utilization Management Nurse 1 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 1 work assignments are ... moderate complexity. Responsibilities The Utilization Management Nurse 1..
... responsible for oversight of healthcare management staff including the organization and ... Oversees the implementation of healthcare management services for assigned functional area ... Protects the confidentiality of member..
Description The Behavioral Health Care Manager, Telephonic Nurse 2 ... Humana is seeking a Behavioral Health Care Manager to telephonically assess, ... achieve and/or maintain their optimal health. The Behavioral..
... Manager for our Complex Case Management Program. The Care Manager employs ... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... how to navigate through the..
... the child's medications, treatments, and health care provider visits or assistance ... individual child's behavioral and emotional health. Essential Duties and Responsibilities: Care ... and the plan. • Gather..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... documentation and communication of behavioral health services and/or benefit administration determinations. ... benefit administration determinations. The Utilization Management..
